• Title/Summary/Keyword: Michael Mann

Search Result 6, Processing Time 0.021 seconds

Shmuel N. Eisenstadt and the Comparative Political History of Pre-Eighteenth-Century Empires

  • De WEERDT, Hilde
    • Asian review of World Histories
    • /
    • v.4 no.1
    • /
    • pp.133-163
    • /
    • 2016
  • This essay critically analyses the legacy of Eisenstadt's The Political Systems of Empires for the comparative political history of pre-industrial empires. It argues that Eisenstadt has given us a rich toolkit to conceptualize the formation, maintenance, and dissolution of empires by theorizing the structural relationships between social groups in large-scale polities and among such polities, and by analysing global patterns of development in the distribution of the sources of social power. The Political Systems of Empires provides an inventory of key questions and dynamics that a comparative history of power relationships in empires cannot ignore. This essay, furthermore, discusses three methodological problems in Eisenstadt's work which have had a significant impact on comparative empire studies between the 1980s and the 2000s. The essay argues that certain shared features of comparative studies of pre-industrial empires help perpetuate Eurocentric analyses: the foregrounding of select empires and periods as ideal types (typicality), the focus on macro-historical structures and dynamics without the integration of social relationships and actions in historical conjunctures (the lack of scalability), and the search for convergence and divergence. These features need to be overcome to make Eisenstadt's legacy viable for comparative political history.

Patient satisfaction in shoulder arthroscopy: telemedicine versus clinic follow-up visits

  • Cha, Elliot D.K.;Suraci, Corey;Petrosky, Daniel;Welsh, Rebeca;Reynolds, Gustin;Scharf, Michael;Brutico, Joseph;SantaLucia, Gabriella;Choi, Joseph
    • Clinics in Shoulder and Elbow
    • /
    • v.25 no.2
    • /
    • pp.106-111
    • /
    • 2022
  • Background: The use of telemedicine for postoperative visits is increasing, especially in rural areas. Few studies have investigated its use for arthroscopic shoulder patients. This study aims to evaluate patient satisfaction with telemedicine for postoperative clinic visits following arthroscopic shoulder procedures in a rural setting. Methods: Patients were prospectively enrolled using the following exclusion criteria: <18 years, open procedures, and non-compliance follow-up at 6 weeks postoperatively. All patients completed a 13-question satisfaction survey, while telemedicine patients completed an additional, separate seven-question survey. Patients who switched groups completed a four-question prompt to determine the reasons for switching. Differences between groups were evaluated by either Student t-test or Mann-Whitney U-test. Results: The study enrolled 32 patients, with five patients following up by telemedicine and 27 in person. Age and distance from clinic were similar between patients who were assigned to the telemedicine group, completed the telemedicine visit, and opted for in-person visits (all p>0.05). Patient satisfaction did not vary significantly based on care by the surgeon, concerns being addressed, thoroughness of visit, overall clinical assessment at a prior visit, and improvements in pain and physical function (all p>0.05). Among patients who opted out of telemedicine visits, the most common reason was a preference to meet in-person but these patients agreed that telemedicine visits are a good idea. Conclusions: Regardless of type of follow-up, individuals reported similar levels of satisfaction with treatment during the visit and improvements in pain and physical function.

Effect of medium or high concentrations of in-office dental bleaching gel on the human pulp response in the mandibular incisors

  • Douglas Augusto Roderjan;Rodrigo Stanislawczuk;Diana Gabriela Soares;Carlos Alberto de Souza Costa;Michael Willian Favoreto;Alessandra Reis;Alessandro D. Loguercio
    • Restorative Dentistry and Endodontics
    • /
    • v.48 no.2
    • /
    • pp.12.1-12.11
    • /
    • 2023
  • Objectives: The present study evaluated the pulp response of human mandibular incisors subjected to in-office dental bleaching using gels with medium or high concentrations of hydrogen peroxide (HP). Materials and Methods: The following groups were compared: 35% HP (HP35; n = 5) or 20% HP (HP20; n = 4). In the control group (CONT; n = 2), no dental bleaching was performed. The color change (CC) was registered at baseline and after 2 days using the Vita Classical shade guide. Tooth sensitivity (TS) was also recorded for 2 days post-bleaching. The teeth were extracted 2 days after the clinical procedure and subjected to histological analysis. The CC and overall scores for histological evaluation were evaluated by the Kruskal-Wallis and Mann-Whitney tests. The percentage of patients with TS was evaluated by the Fisher exact test (α = 0.05). Results: The CC and TS of the HP35 group were significantly higher than those of the CONT group (p < 0.05) and the HP20 group showed an intermediate response, without significant differences from either the HP35 or CONT group (p > 0.05). In both experimental groups, the coronal pulp tissue exhibited partial necrosis associated with tertiary dentin deposition. Overall, the subjacent pulp tissue exhibited a mild inflammatory response. Conclusions: In-office bleaching therapies using bleaching gels with 20% or 35% HP caused similar pulp damage to the mandibular incisors, characterized by partial necrosis, tertiary dentin deposition, and mild inflammation.

General Characteristics for Poisoning-Induced Transient or Sustained Hyperammonemia (급성 약물중독에 합병된 일과성 혹은 지속성 고암모니아혈증의 특성)

  • Lee, Soo Hyung;Park, Hong In;Choe, Michael Sung Pil;Je, Dong Wook;Nho, Woo Young;Kim, Seong Hun;Lee, Mi Jin;Ahn, Jae Yun;Moon, Sung Bae;Lee, Dong Eun;Park, Jung Bae
    • Journal of The Korean Society of Clinical Toxicology
    • /
    • v.14 no.2
    • /
    • pp.136-143
    • /
    • 2016
  • Purpose: In patients with altered mentality caused by drugs or unknown causes, ammonia is checked to facilitate differential diagnosis or diagnose hepatic coma. This helps early prevention and treatment of brain damage due to hyperammonemia. This study was conducted to evaluate clinical characteristics of intoxicated adult patients with hyperammonemia. Methods: We evaluated 95 patients with hyperammonemia among intoxicated patients above the age of 15 who visited our ED from January 2013 to December 2015. We analyzed the demographic characteristics and type of poisoning substance, reason for ingestion, toxicological characteristics such as elapsed time from ingestion to hospital visit, lab, clinical progression and complications. Data were evaluated using the student's t test or Mann-Whitney U test for continuous variables, and Chi-square test and Fisher's exact test for frequency analysis of categorical variables. Results: When compared to healthy individuals, patients with hyperammonemia showed statistical significance on their SOFA score (p=0.016) and poison severity score (p<0.001). Additionally, patients with hyperammonemia showed significantly different initial serum AST level (p=0.012) and maximum serum AST level during the hospital stay (p=0.026) when compared to healthy individuals. Moreover, individuals with sustained hyperammonemia compared to transient hyperammonemia showed clinically significant SOFA scores (p<0.001), poison severity scores (p=0.007), mortality rates in the ICU (p=0.021), as well as different duration of hospital stay (p=0.037), serum creatinine level (p=0.002), erythrocyte sedimentation rate (p=0.025), and serum myoglobin (p=0.015). Conclusion: Most poisoning-induced hyperammonemia cases were transient and recovered without special treatment. Therefore, hyperammonemia is almost non-specific among poisoning patients.